Information Provided for Enrollment Process Sample Clauses

Information Provided for Enrollment Process. The Contractor shall provide each member with clear, accurate and truthful information about the Contractor's health plan to ensure compliance with this Contract and with state and federal laws and regulations. The Contractor shall be responsible for developing and distributing its own member specific marketing, educational and enrollment materials including but not limited to, evidence of coverage and other materials designed for member education. All written material shall be written at a grade level no higher than the fourth (4th) grade, or as determined appropriate by SCDHHS. The Contractor shall not cause or knowingly permit the use of advertising which is untrue, misleading or deceptive. The information must include a statement that enrollment in the Contractor's Plan by a Medicaid applicant/eligible shall be voluntary. The Contractor shall inform the members that enrollment shall be for a period of twelve (12) months contingent upon their continued Medicaid eligibility and that the member may request disenrollment without cause at any time during the 90 days following the date of the member’s initial enrollment with the MHN.
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Information Provided for Enrollment Process. The Contractor shall provide each member with clear, accurate and truthful information about the Contractor's health plan to ensure compliance with this Contract and with state and federal laws and regulations. The Contractor shall ascertain whether the beneficiary has a Primary Care Physician and if so, whether their PCP is a member of the MCO network. The Contractor shall be responsible for developing and distributing its own member specific marketing, educational and enrollment materials including but not limited to, evidence of coverage, member handbook, other materials designed for member education and MCO enrollment form. All written material shall be written at a grade level no higher than the fourth (4th) grade, or as determined appropriate by SCDHHS. The Contractor shall not cause or knowingly permit the use of advertising which is untrue, misleading or deceptive. The information must include a statement that enrollment in the Contractor's Plan by a Medicaid applicant/eligible shall be voluntary. The Contractor shall inform the members that enrollment shall be for a period of twelve (12) months contingent upon their continued Medicaid eligibility and that the member may request disenrollment once, without cause at any time during the 90 days following the date of the member’s initial enrollment with the MCO. During marketing presentations, the Contractor must ask female recipients the name of the OB/GYN doctor they are currently using. The Contractor must inform the recipient whether the doctor is a member of the Contractor’s provider network. If the doctor is not a member of the Contractor’s provider network, the recipient must be provided the Contractor’s current provider listing from which she can choose a doctor.
Sample 1
Information Provided for Enrollment Process. The Contractor shall provide each Medicaid MCO Member with clear, accurate and truthful information about the Contractor's health plan to ensure compliance with this Contract and state and federal laws and regulations. The Contractor shall ascertain whether the Medicaid MCO Member has a PCP and if so, whether that PCP is a member of the Contractor’s Provider network. The Contractor shall be responsible for developing and distributing its own Medicaid MCO Member specific marketing, educational and enrollment materials including, but not limited to, evidence of coverage, Medicaid MCO Member handbook, and other materials designed for Medicaid MCO Member education and MCO enrollment form. All written material shall be written at a grade level no higher than the fourth (4th) grade, or as determined appropriate by the Department. The Contractor shall not cause or knowingly permit the use of advertising which is untrue, misleading or deceptive. The information must include a statement that enrollment in the Contractor's health plan by a Medicaid Eligible shall be voluntary. The Contractor shall inform the Medicaid MCO Members that enrollment shall be for a period of twelve
Sample 1
Information Provided for Enrollment Process. The Contractor shall provide each member with clear, accurate and truthful information about the Contractor's health plan to ensure compliance with this Contract and with state and federal laws and regulations. The Contractor shall be responsible for developing and distributing its own member specific marketing, educational and enrollment materials including but not limited to, evidence of coverage and other materials designed for member education. All written material shall be written at a grade level no higher than the fourth (4th) grade, or as determined appropriate by SCDHHS. The Contractor shall not cause or knowingly permit the use of advertising which is untrue, misleading or deceptive. The information must include a statement that enrollment in the Contractor's Plan by a Medicaid applicant/eligible shall be voluntary. The Contractor shall inform the members that enrollment shall be for a period of twelve (12) months contingent upon their continued Medicaid eligibility and that the member may request disenrollment once, without cause, at any time during the ninety (90) calendar days following the date of the member’s initial enrollment with the MHN.
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